温州市流动儿童麻疹疫苗初免及时率及影响因素分析

[目的]了解温州市8月龄~4岁儿童含麻疹成分疫苗(MV)初免及时接种率及影响因素,为制定流动儿童的干预措施提供依据。[方法]采用分阶段抽样方法,调查温州市1 167名流动儿童和监护人的人口学特征、MV疫苗预防接种情况、监护人知识、态度、预防接种服务及利用情况,分析MV疫苗及时接种率及影响因素。[结果]MV初免和及时接种率分别为97.3%、69.2%,非条件Logistic多因素分析结果表明,家长的工作时间、胎次、预防接种的信息来源、是否了解预防接种、有无必要接种、接种前主动告知医师孩子的健康状况、持有预防接种卡、证为流动儿童MV及时接种率的主要影响因素。[结论]温州市流动儿童MV初免及时接种率较低,监护人及时免疫意识和免疫服务有待加强,并建议采取有针对性的干预措施提高MV初免及时接种率。

Influence factors and timely inoculation rate of measles vaccine in floating children

[ Objective ] To investigate the timely vaccination of Measles Vaccine in floating children in 8 month - 4 years old Children in rate for effective measures. [ Methods ] Wenzhou and to analyze the factors that affect timely vaccination Stratified sampling was used to investigate the demographic features of 1301 floating children and their guardians in Wenzhou, including the guardians＇knowledge of vaccination, attitude, service and utilization of vaccination, and to analyze the factors affecting timely vaccination rate of measles vaccine among the floating children. [ Results] Coverage rate and the timely inoculation rate of measles vaccine were 97.3% and 69.2% respectively. Logistic regression showed that major influence factors associated with coverage included parents＇working hours, parity, access of vaccination information, knowledge about whether vaccination was necessary for children , having immunization card or vaccination certificate and so on. [ Conclusion ] The timely vaccination rate of measles vaccine in floating children is relatively low in Wenzhou, and therefore the awareness of their parents and the service of national immunization program should be strengthened. Effective intervention should be implemented to improve the timely inoculation rate of measles vaccine.